目的在客观准确评价脑卒中患者上肢运动功能的基础上,观察不同穴位与肌肉运动点针刺对脑卒中患者腕手功能重建的影响。方法选择符合纳入标准的脑卒中患者40例,随机分为四组,分别给予伸肌运动点针刺(运动点1组),伸-屈肌交替运动点针刺(...目的在客观准确评价脑卒中患者上肢运动功能的基础上,观察不同穴位与肌肉运动点针刺对脑卒中患者腕手功能重建的影响。方法选择符合纳入标准的脑卒中患者40例,随机分为四组,分别给予伸肌运动点针刺(运动点1组),伸-屈肌交替运动点针刺(运动点2组),针刺肩髃、臂臑、手三里、外关(穴位1组),针刺肩髃、臂臑、手三里、外关、尺泽、内关(穴位2组)。以上肢表面肌电信号(sEMG)特征值、Fugl-Meyer功能评定表及Barthel ADL指数评价表评价各组治疗前后的患侧上肢运动功能。结果采用伸-屈肌交替运动点针刺可以使上肢sEMG的峰值(MAX)、积分肌电值(IEMG)、Fugl-Meyer运动功能分值、Bar the l ADL提高较明显。结论不同针刺部位治疗脑卒中后腕手运动功能疗效的影响不同。伸-屈肌交替运动点针刺在临床治疗中具有明确疗效。展开更多
This paper is a summary of clinical studies on auricular acupoint penetration needling along the skin for treatment of pain and dysfunction in recent 10 years.Auricular acupoint penetration needling along the skin was...This paper is a summary of clinical studies on auricular acupoint penetration needling along the skin for treatment of pain and dysfunction in recent 10 years.Auricular acupoint penetration needling along the skin was used to observe rapid analgesic effects and clinical efficacy on cervical spondylopathy,periarthritis of shoulder,pain in waist and lower extremities,migraine,and other peripheral neuropathic pain,and stroke sequels,soft tissue injury,and so on.Self-control method was used in the studies at the first stage,and clinically randomized control trial methodwas used for systematic comparison with other therapies at the second stage.Results indicated that the auricular acupoint penetration needling along the skin had obviously clinical effects on cervical spondylopathy,periarthritis of shoulder,pain in waist and lower extremities,migraine,soft tissue injuries and stroke sequels,with a better rapid analgesic effect as compared with ear perpendicular needling method.展开更多
文摘目的在客观准确评价脑卒中患者上肢运动功能的基础上,观察不同穴位与肌肉运动点针刺对脑卒中患者腕手功能重建的影响。方法选择符合纳入标准的脑卒中患者40例,随机分为四组,分别给予伸肌运动点针刺(运动点1组),伸-屈肌交替运动点针刺(运动点2组),针刺肩髃、臂臑、手三里、外关(穴位1组),针刺肩髃、臂臑、手三里、外关、尺泽、内关(穴位2组)。以上肢表面肌电信号(sEMG)特征值、Fugl-Meyer功能评定表及Barthel ADL指数评价表评价各组治疗前后的患侧上肢运动功能。结果采用伸-屈肌交替运动点针刺可以使上肢sEMG的峰值(MAX)、积分肌电值(IEMG)、Fugl-Meyer运动功能分值、Bar the l ADL提高较明显。结论不同针刺部位治疗脑卒中后腕手运动功能疗效的影响不同。伸-屈肌交替运动点针刺在临床治疗中具有明确疗效。
基金supported by a TCM Grant for Middle-aged and Young Persons of Hebei Medical University (No.030015)Plan Project of TCM Administration Department of Hebei Province (No.05032, No.200657)+1 种基金The National Natural Science Foundation of China (No. 81072883)Acup-mox key discipline of State TCM Administration Bureau of China
文摘This paper is a summary of clinical studies on auricular acupoint penetration needling along the skin for treatment of pain and dysfunction in recent 10 years.Auricular acupoint penetration needling along the skin was used to observe rapid analgesic effects and clinical efficacy on cervical spondylopathy,periarthritis of shoulder,pain in waist and lower extremities,migraine,and other peripheral neuropathic pain,and stroke sequels,soft tissue injury,and so on.Self-control method was used in the studies at the first stage,and clinically randomized control trial methodwas used for systematic comparison with other therapies at the second stage.Results indicated that the auricular acupoint penetration needling along the skin had obviously clinical effects on cervical spondylopathy,periarthritis of shoulder,pain in waist and lower extremities,migraine,soft tissue injuries and stroke sequels,with a better rapid analgesic effect as compared with ear perpendicular needling method.
